Bellwether Procedures for Monitoring and Planning Essential Surgical Care in Low- and Middle-Income Countries: Caesarean Delivery, Laparotomy, and Treatment of Open Fractures.
Kathleen M O'Neill, Sarah LM Greenberg, Meena Cherian, Rowan D Gillies, Kimberly M Daniels, Nobhojit Roy, Nakul P Raykar, Johanna N Riesel, David Spiegel, David A Watters, Russell L Gruen
World J Surg | Published : 2016
BACKGROUND: Surgical conditions represent a significant proportion of the global burden of disease, and therefore, surgery is an essential component of health systems. Achieving universal health coverage requires effective monitoring of access to surgery. However, there is no widely accepted standard for the required capabilities of a first-level hospital. We aimed to determine whether a group of operations could be used to describe the delivery of essential surgical care. METHODS: We convened an expert panel to identify procedures that might indicate the presence of resources needed to treat an appropriate range of surgical conditions at first-level hospitals. Using data from the World Heal..View full abstract